[Question #1795] Questions about Herpes

42 months ago
I have some doubts about herpes and need some explanations. 3 days ago I received protected oral from CSW. As I know there is no chance to catch any STI as chlamydia or ghonorea or NGU because I use condom. I know that there is a risk for syphilis and herpes. Condom cover my whole penis, only base was exosed a little. She provide a condom and put it with her hands. I didnt see any sores on her lips or face, she looks clean. So I need answers to this:

1. Syphilis risk is low right? But she still can transfer if she have sores or anything? If she have sores on palms I can get syphilis? I know that chance for that is small but still there is one right?

2. I read that HSV 2 is rare and I didnt see sore and her lips. I alredy have HSV 1 outbreaks at lips at least 5-6 times in my life, first one got as a kid. So I know that I have HSV 1 and there is low chance to have outbreak at genitals, even if she have HSV 1 on lips? And HSV 2 risk is low too, I HOPE SO, because we dont have vaginal sex?

3. Tell me, if partner have herpes lesions on skin is that mean 100% chance that I will catch herpes?

4. I suppose that oral sex with condom is safe but then I read that there is chance to get HSV, HPV and Syphilis. Is that mean than condom wont work every time?

That is all, thanks!
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
Good morning, and first let me say congratulations on using a condom for this sexual encounter. Good job!
1.  I don't feel that syphilis is a risk here.  Even in the absolutely remote chance that she had syphilis on her hand (that's not where syphilis sores show up), the inside of the condom came into contact only with you so no risk here.
2.  Again, the condom protected you against HSV infection in this situation.  Yes, HSV 2 is rare orally and if there are no sores present, asymptomatic shedding of HSV 2 is VERY uncommon  But none of that really applies in your situation because you used a condom that came in contact only with your penis.
3.  No, absolutely not, but again, this does not apply in your situation
4.  I have never read that receiving oral sex with a condom on results in HSV, HPV or syphilis.  You might have been reading that oral sex in general can, rarely, result in these infections, but not with a condom.

You did all the right things, I think you should put worries about a sexually transmitted infection behind you now.

Terri
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42 months ago
Hi Terri,

Thanks for your answer. Can you can clear this to me and Im done with questions:

1. I have HSV 1 outbreak already, so even if my parter have HSV 1 on lips its unlikely that I will get HSV 1 outbreak at my genitals? I already have it on lips few times in my life and that is place where HSV 1 will stay?

2. As I understand, for HSV 2 I need genital to genital contact right? As you sad many times here, HSV 2 is rare orally and I read here that transmission of HSV 2 include skin frinction, in other words I must RUB IN virus in my skin? Only skin to skin concant have less transmission risk? So with condom risk is only for base of penis and skin arround it?

I also understand that my previous encounter is low risk, just need to know this for future. And of course I will use condoms.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
Yes, it would be very unlikely once you have well established herpes in one location (you lip) to get it in a new location on your body, like your genitals.  I have maybe seen it once in 33 years - not even sure about that one, honestly.
Yes, for HSV 2, in the vast majority of cases, you need genital to genital contact.  And yes, for transmission, the herpes virus needs to be rubbed in.  Correct, if you are having sex with a person while using a condom, the base of the penis not covered by a condom is the only risk area. 
I'm glad you are seeking information about how to practice safer sex in relation to genital herpes infection. Also, if the infected person takes daily antiviral therapy, the risk of transmission is reduced by half.

Terri
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42 months ago
Hi Terri,

16+ days after encouter and I didnt see any change on my genitals, also dont have any outbreak or painfull episode with blisters. Can you tell me which is average time for HSV 2 outbreak? 2 Weeks? After this questions you can close thread. Thanks
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
The average time from infection to first symptom, if there are going to be symptoms, is 5.5 days with the range being 2-10, maybe 14 days.  sounds like it's going very well so far!

Terri
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